Individual
DR. AMJAD ABDULRAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7430 COLLEGE ST, IRMO, SC 29063-2903
(803) 732-4001
(803) 799-1922
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21671
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216714
—
SC
01
—
P00057303
RAILROAD MEDICARE
SC
Enumeration date
08/29/2005
Last updated
07/08/2021
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